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The Temporal Coordination of the Lower Extremity by Increasing High-heel Height during Walking

보행 시 하이힐 굽 높이 증가에 따른 하지의 시간 협응성

  • Published : 2009.09.30

Abstract

The goal of this study was to investigate the lower extremity's coordination determined by temporal relations with increasing high-heel (3, 7, 9cm) while walking on a treadmill. Twelve healthy women who walked on a treadmill under three conditionswearing 3cm high-heel shoes, 7cm, and 9cm-while kinematic data were collected using a six-cameras (240Hz) Qualisys ProReflex System. From these data, knee flexion, tibia internal rotation, and foot eversion were calculated in Euler technique and found the time for occurring the maximum angle of these movements. The maximum angle of these movements occurred almost simultaneously in 3cm high-heel walking, but not in 7cm and 9cm. The ratio of time for maximum angle of the foot eversion to tibia internal rotation converged to 1 in 3cm high-heel walking, but were less than 1 in 7cm and 9cm. In conclusion, it was indicated that 3cm high-heel walking had better the lower extremity's coordination compared with 7, 9cm high-heel walking.

이 연구의 목적은 20-30대 여성 12명을 대상으로 각기 다른 하이힐 (3cm, 7cm, 9cm) 보행 시 지지 구간에서 하지의 시간 협응성을 관찰하기 위한 것이었다. 이를 위해 영상 분석을 통해 무릎의 굴곡과 경골의 내측 회전, 발의 외반 각을 Euler 방법에 의해 분석하였으며, 이들 움직임이 최대로 일어나는 시간을 관찰해 이들의 일치도를 정성적으로 분석하였고, 또한 최대 경골 내측 회전에 대한 최대 발의 외반 각이 발생하는 시간비율을 분석해 잠재적 상해 발생 부위를 예측하고자 했다. 그 결과 다음과 같은 결론을 얻었다. 하이힐 3cm 보행은 7, 9cm 보행보다 무릎 굴곡, 경골 내측 회전, 발의 외반 최대 발생 시간의 일치도가 높은 것으로 나타났으며, 무릎 최대 굴곡 발생 시간은 하이힐 높이가 증가하면 할수록 일찍 발생하는 경향을 보였다. 반면에 경골의 최대 내측 회전 발생 시간은 하이힐 높이가 증가할수록 늦게 발생하는 특징을 보였다. 보행 시 지지구간에서 경골의 최대 내측 회전 발생 시간에 대한 발의 최대 외반 발생 시간 비는 하이힐 3cm 보행이 전체적으로 1에 수렴하는 특징을 나타났으나, 하이힐 7, 9cm 보행은 1보다 적은 값을 보였다.

Keywords

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